As with all gene therapy products with integrating vectors (lentiviral or retroviral vectors), the potential risk of developing secondary malignancies is labeled as a class warning in the U.S. prescribing information (USPIs) for approved BCMA-directed and CD19-directed genetically modified autologous T cell immunotherapies. The initial approvals of these products included postmarketing requirements (PMRs) under Section 505(o) of the Federal Food, Drug, and Cosmetic Act (FDCA) to conduct 15-year long term follow-up observational safety studies to assess the long-term safety and the risk of secondary malignancies occurring after treatment.
FDA正在调查CART有可能造成T细胞癌症的问题,包括CD19和BCMA CART。根据调查结果会决定要不要给CART一个class warning也就是所有CART药品黑框警告。并且让所有CART临床病人都需要一辈子随访看会不会产生新的癌症。。。